CHARLOTTE KETCHAM


Address: 6600 France Ave S Ste 472, Edina, MN 55435-1806
Phone: 9521855577

CHARLOTTE KETCHAM (NPI# 1740345016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740345016
Entity Type Individual
Full Name CHARLOTTE KETCHAM
Credential MA
Practice Address 6600 France Ave S Ste 472
Edina
MN 55435-1806
Mailing Address 4602 Merilane Ave
Edina
MN 55436-1338
Practice Telephone 9521855577
Mailing Telephone 9529201359
Enumeration Date 2006-12-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 2971 MN Behavioral Health & Social Service Providers

Office Location

Street Address 6600 FRANCE AVE S STE 472
City EDINA
State MN
Zip Code 55435-1806

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043704679 Erin Ayala Psychologist 7401 Metro Blvd Ste 510, Edina, MN 55439-3033 2018-06-18
1538559810 Krista Peterson Psychologist 6600 France Ave S Ste 230, Edina, MN 55435-1810 2015-01-26
1760899363 Jl Norman, Inc Psychologist 7241 Ohms Ln Ste 145, Edina, MN 55439-2136 2014-07-15
1104158195 Jan Hoistad Psychologist 4433 Dunham Dr, Edina, MN 55435-4139 2010-02-02
1093990798 Iris H Cornelius Psychologist 7401 Metro Blvd, Suite 400, Edina, MN 55439-3041 2008-01-01
1396935219 Michele Frances Dodds Psychologist 3948 West 50th St, #207, Edina, MN 55424 2007-07-26
1649485111 Minneapolis Southwest Mental Health Clinic, Limited Psychologist 4010 W 65th St Ste 101, Edina, MN 55435-1724 2007-05-10
1184840092 Loren Antone Hooyman Psychologist 3919 W 44th St, Suite 200, Edina, MN 55424-1032 2007-04-18
1114045481 Denise Hanna Bisanz Psychologist 3919 W 44th, #200, Edina, MN 55424-1032 2007-03-26
1437282860 Applied Behavioral Consultants, Inc. Psychologist 5275 Edina Industrial Blvd, #103, Edina, MN 55439-2918 2007-03-14
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City EDINA
Zip Code 55435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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